Find & Apply For Billing Clerk / Specialist Jobs in Coral Gables, Florida

JOB TITLE

Medical Collection Specialist

REPORTS TO

Revenue Cycle Manager

FLSA STATUS

Non-Exempt

JOB SUMMARY

In-depth knowledge of Procedural Coding, Specialist in identifying appropriate ICD10 coding based on CMS/HCC categories, CPT, HCPCS

CMS 1500

FORM, Super Bill, Electronic Claims Submission and Clearing House Operations, EOB, Payments, Denials, and appeals.

QUALIFICATIONS/EDUCATION

High School Diploma required. Minimum 1 years of experience in billing and/or medical collections ECW experience preferred. Pathology Billing experience Bilingual English/Spanish Preferred; must be able to read, write and speak English.

Computer Knowledge:

MS word, MS Excel internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send emails and faxes.

CERTIFICATIONS/LICENSES

CPC Certified Preferred

ABILITIES/SKILLS

In depth knowledge of ICD10 and HCPCS coding. Excellent communication, Customer Service and telephone skills. Strong organizational skills and ability to multi-task effectively. Must be able to work independently with minimal supervision. Able to respect and maintain patient confidentiality at all times. Functions with minimal direct supervision. Must be dependable and conduct him/herself in a professional manner. Demonstrates skill in use of personal computers, various programs and applications required to competently execute job duties. Must be able to follow policies and procedures.

ESSENTIAL DUTIES/ RESPONSIBILITIES

Identify denial trends and make recommendations for resolutions. Process rejections/denials and resubmit claims as needed. Appeal denied claims and follow up as needed. Answer patients' or insurers' billing questions and resolve issues or disputes in a timely manner. Review patient information to determine or identify claim denial causes. Communicate with insurance companies for claim(s) payment. Request correct adjustment to resolve outstanding account balances. Maintain accurate and detailed chart notes in the system. Follow- up on patient denials prior to the payer's appeal deadline. Perform any other duties as assigned.

PRE-EMPLOYMENT REQUIREMENTS

Criminal Background Check We offer a competitive salary; Employee Health Insurance is covered at 100%. We also offer Dental, Vision, Life, and 401k Benefits.